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Electrocardiographic evolutionary changes and left ventricular remodeling after acute myocardial infarction¹

Results of the GISSI-3 Echo substudy

Enzo Bosimini, MD^*, Pantaleo Giannuzzi, MD^*, Pier L. Temporelli, MD^*, Francesco Gentile, MD, Donata Lucci, BS, Aldo P. Maggioni, MD, Luigi Tavazzi, MD, Luigi Badano, MD^||, Ioanna Stoian, MD^¶, Rita Piazza, MD^#, Ioanna Heyman, MD^**, Giacomo Levantesi, MD, Eugenio Cervesato, PhD^¶, Enrico Geraci, MD, Gian L. Nicolosi, MD^¶ for the GISSI-3 Echo Substudy Investigators

^* Fondazione Maugeri, Istituto Di Ricovero E Cura A Carattere Scientifico, Veruno, Italy
Ospedale Bassini, Cinisello Balsamo, Italy
Centro Studi Associazione Nazionale Medici Cardiologi Ospedalieri, Firenze, Italy
Ospedale S. Matteo, Pavia, Italy
^|| Ospedale Civile, Udine, Italy
^¶ Ospedale Civile, Pordenone, Italy
^# Ospedale Civile, S.Vito al Tagliamento, Italy
^** Ospedale Civile, Rho, Italy
Ospedale Civile, Vasto, Italy
Ospedale Cervello, Palermo, Italy

View larger version (32K): [in a new window]   Figure 1 ECG changes observed from 24 to 48 h after AMI to six-month follow-up according to the different evolutionary changes of the negative T waves after hospital discharge. Patients with persistently positive T waves (group 1; n = 35), patients with 1 decrease in the number of negative T waves (group 2; n = 361), patients with no change in the number of negative T waves (group 3; n = 64) and patients with 1 increase in the number of negative T waves (group 4; n = 76) from predischarge to six-month follow-up.

View larger version (51K): [in a new window]   Figure 2 Echocardiographic changes observed from 24 to 48 h after AMI to six-month follow-up according to the different evolutionary changes of the negative T waves after hospital discharge. Patients with persistently positive T waves (group 1; n = 35), patients with 1 decrease in the number of negative T waves (group 2; n = 361), patients with no change in the number of negative T waves (group 3; n = 64) and patients with 1 increase in the number of negative T waves (group 4; n = 76) from predischarge to six-month follow-up. EF = ejection fraction.